WOMENS-HEALTH Messages for November, 1999: Re: Possible mistake during Hyst.

Re: Possible mistake during Hyst.

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 29 Nov 1999 21:37:56 -0600 (CST)

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In reply to: Gina: "Re: Possible mistake during Hyst."

Gina,

I haave found your posts to be well thought out and very insiteful. It is with the greatest of respect and regret that I must disagree with one point below.

At Mon, 29 Nov 1999, Gina wrote: >
>Hi Susan,
>I almost wasn't going to reply to this as to my ideas, but decided what
>the heck. I had a LAVH hysterectomy and a seperate BSO a month later.
>>From the complications I had, I can take some "guesses" as to what to
>rule out as to the cause of your pain/problems.
>1st of all, and not to gross anyone out, but during a TAH all of your
>intestines are removed from your body, and then are put back in!

Except for cases of cancer or gastrointestinal problems must be checked where examining the bowel is necessary, no one I know does this on a routine basis.

HSM

>It is
>possible they didn't put yours back in correctly or that yours are being
>pinched somehow by an organ (didn't settle into place well, etc). Are
>you having any bowel problems at all?
>2nd, it could be a very large hematoma which is a hardened pool of blood
>that floats around pressing up against things, causing pain and
>pressure. These can be removed, or drained and I believe it would show
>on a CT scan and maybe ultra sound.
>It's highly unlikely that you have adhesions in an area that has never
>been touched surgically or traumatized otherwise.
>If you have endometriosis then it could spread to that area and that can
>be ruled out by a GYN and a lap surgery. If you have ever had pelvic
>inflammatory disease and it spread that far, you could get adhesions
>there.
>But I would rule out the 1st 2 since they seem much more likely.
>Gina
>
>At Sun, 28 Nov 1999, Susan wrote:
>>
>>Since my TAH/BSO,appendectomy 5/26 I have felt a pushing up pressure
>>under my rib cage.What is the possibilty of attaching organs to high
>>up?I know that sounds really weird.I have lumpy feeling there down to
>>side.If that happened could it be diagnosed during CT scan or would I
>>have to have Lap to find out?It is very very uncomfortable.I have
>>appt.with Dr.Friday and feel foolish bringing it up,but I would like to
>>know if it is possible.I am only 5'tall.Susan

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: chronic vulvar irritation"
Previous message: Harvey S. Marchbein, M.D.: "Re: Question for Dr. M"
In reply to: Gina: "Re: Possible mistake during Hyst."

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